Life expectancy with and without cognitive impairment among Brazilian older adults

Author(s)

Andrade, Flavia Cristina Drumond ^[1] ; Corona, Ligiana Pires ^[2] ; Lebrao, Maria Lucia ^[2] ; de Oliveira Duarte, Yeda Aparecida ^[3]

Affiliation

^[1] Univ Illinois, Coll Appl Hlth Sci, Dept Kinesiol & Community Hlth, Champaign, IL 61820 - USA

^[2] Univ Sao Paulo, Dept Epidemiol, Sch Publ Hlth, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Sch Nursing, Med Surg Nursing Dept, Sao Paulo - Brazil

• Document type: Journal article
• Source: ARCHIVES OF GERONTOLOGY AND GERIATRICS; v. 58, n. 2, p. 219-225, MAR-APR 2014.
• Web of Science Citations: 7

Abstract

Estimating the life expectancy with and without cognitive impairment in an older adult population is critical for understanding the burden of illness on individuals and their families, the health care system, and society at large. This paper presents and compares estimates of life expectancy with and without cognitive impairment for the noninstitutionalized population ages 60 years and older in Sao Paulo, Brazil, for the years 2000 and 2010. Life expectancy with and without cognitive impairment was calculated using the Sullivan method and prevalence estimates from data collection at two points (2000 and 2010) of the Health, Well-Being, and Aging (SABE) Study. Results indicate that 60-year-old men in Sao Paulo in 2000 could expect to live 14.8 years and women 17.9 years without cognitive impairment. By 2010, life expectancy without cognitive impairment had increased to 17.1 years for men and 20.0 years for women. Length of life with cognitive impairment differed by gender (2.3 years for men and 3.7 years for women at age 60 in 2010). However, the absolute number of years with cognitive impairment remained relatively constant with age. The results indicate a trend for improvements in life expectancy without cognitive impairment over time in Sao Paulo. Adults in Brazil still face many years of cognitive impairment in their older years, particularly when compared with estimates from developed countries. (C) 2013 Elsevier Ireland Ltd. All rights reserved. (AU)

• FAPESP's process: 09/53778-3 - SABE Study 2010: Health, well-being and aging
• Grantee: Maria Lúcia Lebrão
• Support Opportunities: Research Projects - Thematic Grants
• FAPESP's process: 05/54947-2 - SABE study - 2005: well-being and ageing: longitudinal study of living conditions and health of elderly in the municipality of São Paulo
• Grantee: Ruy Laurenti
• Support Opportunities: Research Projects - Thematic Grants
• FAPESP's process: 10/02779-7 - Anemia in the elderly: associated factors and impact on frailty status - SABE Project
• Grantee: Ligiana Pires Corona
• Support Opportunities: Scholarships in Brazil - Doctorate